| NPI | 1811275118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 8588423-3902) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 8588423-2506) |
| 103K00000X Behavior Analyst (Licence: UT 0-11-4007) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2022-04-11 |